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Published on: February 14, 2020
The Juncture Between Clostridioides difficile Infection and Inflammatory Bowel Diseases
Poonam Beniwal-Patel1, Daniel J Stein1, L Silvia Munoz-Price2
1Division of Gastroenterology and Hepatology, Medical College of Wisconsin, Milwaukee.
Detecting Clostridioides difficile in inflammatory bowel disease (IBD) patients is common. Differentiating infection from colonization in IBD patients requires careful evaluation of symptoms and risk factors.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Microbiology
Background:
- Clostridioides difficile (C. diff) detection is frequent in inflammatory bowel disease (IBD) patients, often during exacerbations.
- Clinical symptoms of C. diff infection and IBD flares overlap, complicating diagnosis.
Purpose of the Study:
- To review the epidemiology, clinical presentation, risk factors, diagnosis, treatment, and outcomes of C. diff in IBD patients.
- To clarify the distinction between C. diff infection and colonization in this population.
Main Methods:
- Literature review of studies on C. diff in IBD patients.
- Analysis of epidemiological data, clinical characteristics, and diagnostic approaches.
Main Results:
- C. diff positivity is common in IBD patients, particularly during flares.
- Distinguishing infection from colonization presents diagnostic challenges due to overlapping symptoms.
Conclusions:
- Accurate diagnosis of C. diff in IBD patients is crucial for appropriate management.
- Further research is needed to refine diagnostic and treatment strategies for C. diff in IBD.
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